TELUQ, University of Quebec at Montreal, Montreal, QC, Canada.
Psychol Health Med. 2013;18(1):30-6. doi: 10.1080/13548506.2012.659744. Epub 2012 Mar 7.
The way Togolese people judge their willingness to seek malaria treatment in health facilities as a function of a set of concrete circumstances was examined. Three hundred and thirty-one people in Lomé, Togo, were presented with 32 scenarios of a few lines depicting a situation of illness strongly suggestive of malaria, and were instructed to judge their willingness to consult in each case. The scenarios were developed according to a five within-subject factor design: (1) severity of symptoms, (2) cost of treatment, (3) caregivers' attitudes, (4) availability of traditional treatment and (5) family's attitude with regards to use of formal health services. All these factors had significant effects. The severity factor had the strongest effect, and attitude of the family had the weakest effect. The other three factors had more or less the same impact. Implications for health policy are discussed.
本文考察了多哥人民判断是否愿意前往医疗机构治疗疟疾的意愿，这种判断是基于一系列具体情况的。在多哥洛美，有 331 人阅读了 32 个描述可能患有疟疾的病症的情景，每个情景都有几行文字，并被要求在每种情况下判断自己是否愿意咨询。这些情景是根据一个五因素的被试内设计开发的：（1）症状的严重程度，（2）治疗费用，（3）照顾者的态度，（4）传统治疗的可用性，（5）家庭对使用正规卫生服务的态度。所有这些因素都有显著影响。严重程度因素的影响最大，而家庭态度的影响最小。其他三个因素的影响程度大致相同。本文还讨论了这些结果对卫生政策的影响。
